Download Exam 3: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II Review | Q&A and more Exams Nursing in PDF only on Docsity! Exam 3: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II Review | Questions and Verified Answers| 100% Correct| A Grade – Fortis QUESTION what to do when a patient comes in after a automobile accident, is tachycardia and has absent breath sounds over the right thorax? Answer: connect the chest tube to suction QUESTION what should the plan of care be fore a patient with acute renal failure? Answer: early ambulation, humidified O2, increase HOB to at least 30 degrees QUESTION what to do for a patient with a pulmonary embolism and their O2 sat is decreasing? Answer: -increase O2 flow rate -check all vital signs QUESTION what to do for a patient with respiratory problems who is decompensating? Answer: intubate the patient QUESTION what is indicated if the patient has a LOC change? Answer: this is an EMERGENCY (see this patient first) QUESTION how to position an obese patient with pneumonia? Answer: turn to the left side if the pneumonia is on the right side QUESTION interventions to decrease ventilator-associated pneumonia Answer: position the patient upright, either by elevating the head of the bed at least 30 degrees QUESTION what patient should you turn first? Answer: patient with septicemia who has intercostal and suprasternal retractions QUESTION give an example of therapeutic communication for someone who is obese and trying to lose weight Answer: -what factors led to your obesity? -have they had any changes in their diet or exercise pattern? QUESTION pt teaching for GERD Answer: -avoid bedtime snacks -sleep with head of the bed elevated on 4-5 in blocks QUESTION what to say to a pt with a new diagnosis of esophageal cancer Answer: -ackmowledge that learning about the new diagnosis must be hard for the patient QUESTION after a hiatal hernia, what is indicated if there are absent breath sounds? Answer: a pneumothorax, intervention is requied QUESTION how to assess a patient post op day 1 from perineal resection due to colon cancer Answer: assess wound for regularity and record bleeding, excess drainage, or odor QUESTION how to treat gas and abdominal pain distention? Answer: encourage the patient to ambulate as often as possible QUESTION what does an elevated CEA mean? Answer: increased CEA indicates a tumor is growing QUESTION where on the body would you assess for a positive cullens sign? Answer: the periumbilical area QUESTION what labs should be ordered after a pt gets hep a from contaminated food? Answer: anti-hepatitis A virus immunoglobin M (anti-HAV IgM0 QUESTION pt teaching for early alcoholic cirrhosis Answer: -dont drink alcohol -do not share razors and eat small frequent meals QUESTION what patients should get the inactivated flu vaccine? Answer: -residents of nursing homes -pregnant women -pts who are immunocompromised or taking steroids QUESTION what to teach patients with acute sinusitis? Answer: -take hot showers and use nasal saline spray to promote secretion drainage -sleep with head of bed elevated -take decongestants to relieve swelling QUESTION pt teaching for allergic rhinitis Answer: Answer: assess the patients cough effort QUESTION intervention to prevent aspiration in high risk patients Answer: place patient in a side-lying position QUESTION how to speak to a patient with lung cancer? Answer: use therapeutic communication -open-ended questions like "tell me" QUESTION what to do if you stick yourself with a needle that was used on someone who is Hep B positive? Answer: -administer the Hep B vaccine -test for antibodies to Hep B -give hep B immune globulin QUESTION what is a common side affect of Prilosec in hospitalized patients?? Answer: high risk for c. diff QUESTION what to do if someone gets c. diff after taking Prilosec? Answer: -contact HCP -assess BP+HR -give PRN tyenol -put them on contact isolation QUESTION what food should you give someone right after they come off NPO status? Answer: gelitin
